2011 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
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Plan Name | County | Monthly Prem. (Parts C & D) |
Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Ashley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Bradley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Calhoun | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Chicot | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Cleveland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Columbia | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Dallas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Desha | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Drew | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Hempstead | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Izard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Lee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Lincoln | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Little River | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Nevada | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Phillips | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Sevier | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
St. Francis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in AR - H2944-197-0 Benefit Details |
Union | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in CO - H2944-197-0 Benefit Details |
Baca | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Allen | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Atchison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Barber | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Barton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Bourbon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Brown | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Chase | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Chautauqua | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Cheyenne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Clark | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Clay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Cloud | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Coffey | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Comanche | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Cowley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Decatur | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Dickinson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Doniphan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Edwards | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Elk | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Ellis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Ellsworth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Finney | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Ford | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Franklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Geary | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Gove | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Graham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Grant | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Gray | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Greeley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Greenwood | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Hamilton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Harper | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Haskell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Hodgeman | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Jackson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Jefferson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Jewell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Kearny | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Kingman | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Kiowa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Labette | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Lane | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Lincoln | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Logan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Lyon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Marion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Marshall | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
McPherson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Meade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Mitchell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Montgomery | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Morris | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Morton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Nemaha | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Neosho | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Ness | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Norton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Osage | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Osborne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Ottawa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Pawnee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Phillips | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Pottawatomie | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Pratt | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Rawlins | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Reno | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Republic | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Rice | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Riley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Rooks | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Rush | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Russell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Saline | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Scott | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Seward | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Sheridan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Sherman | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Smith | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Stafford | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Stanton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Stevens | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Sumner | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Thomas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Trego | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Wabaunsee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Wallace | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Washington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Wichita | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Wilson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0 Benefit Details |
Woodson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Adair | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Andrew | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Atchison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Audrain | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Bates | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Benton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Bollinger | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Buchanan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Butler | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Caldwell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Camden | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Cape Girardeau | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Carter | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Chariton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Clark | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Clinton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Cooper | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Daviess | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
DeKalb | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Dent | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Dunklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Gentry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Grundy | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Harrison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Holt | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Howard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Howell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Iron | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Knox | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Lewis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Linn | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Livingston | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Macon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Madison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Maries | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Marion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Mercer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Mississippi | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Monroe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Morgan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
New Madrid | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Nodaway | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Oregon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Pettis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Putnam | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Ralls | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Randolph | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Reynolds | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Ripley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Saline | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Schuyler | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Scotland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Scott | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Shannon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Shelby | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
St. Francois | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Stoddard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Sullivan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Texas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Vernon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Wayne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0 Benefit Details |
Worth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Alfalfa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Atoka | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Beaver | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Beckham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Blaine | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Bryan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Carter | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Cherokee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Choctaw | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Cimarron | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Coal | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Comanche | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Cotton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Custer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Dewey | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Ellis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Garfield | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Grant | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Greer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Harmon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Harper | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Hughes | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Jackson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Jefferson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Johnston | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Kay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Kiowa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Latimer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Le Flore | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Love | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Major | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
McCurtain | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Noble | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Nowata | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Okfuskee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Pittsburg | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Pontotoc | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Pushmataha | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Roger Mills | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Stephens | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Texas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Tillman | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Washita | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Woods | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0 Benefit Details |
Woodward | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
-- | -- |
|